	
	<?php echo validation_errors(); ?>
	
	<form id="customForm" method="post" action="<?php echo site_url()?>/preview/setting_form2">
		
		<input type="hidden" id="previewid" name="preview_form[id]" value="<?php if(isset($id)) echo $id?>" />
		
		<label><?php echo lang('menuitem_examination')?></label>
		<input type="text" id="examination_name" name="preview_form[name]" value="<?php echo set_value('name'); if(isset($name)) echo $name?>" />
		
		<label><?php echo lang('form_label_description')?></label>
		<textarea id="description" name="preview_form[description]"><?php echo set_value('description'); if(isset($description)) echo $description?></textarea>
		
		<input type="submit" id="submit" name="submit" value="<?php echo lang('form_label_save')?>" />
	</form>
